Chapter 139: Excited Emergency Medicine
Thinking of being criticized by Xu Ze, Qian Xuebin's eyes showed a trace of resentment, but Qian Xuebin, who had always been gloomy, did not show it, but forcibly suppressed the resentment in his heart, calmed down, and carefully analyzed his current situation.
"What is Guillain-Barré syndrome, I don't seem to have heard of it, what is wrong with this physical examination? I don't know it myself; So now Director Qu asks me to rewrite and recheck, in case there is any omission, I am afraid that the impression in Director Qu's eyes will plummet..."Thinking of this, Qian Xuebin, who has always been extremely conceited, became a little anxious.
However, he quickly thought that since Xu Ze could find out the problem, then he naturally knew that I didn't check it there, so it seemed that he could only start from him... Thinking of this, Qian Xuebin's originally gloomy face suddenly put on a warm and intimate smile and walked towards Xu Ze on the side.
At this time, Xu Zegang listened to Director Qu's criticism of Qian Xuebin, and secretly said that Qian Xuebin was not a stupid person, but he was afraid that he would soon think that this matter had something to do with him.
Suddenly, I saw Qian Xuebin walking over with a close smile on his face, but he couldn't help but be stunned at the moment, and secretly said that Qian Xuebin didn't know that this matter was related to him?
In Xu Ze's astonishment, Qian Xuebin stepped forward, sat down beside Xu Ze very affectionately, looked at Xu Ze with a smile and said, "Director Qu took you to see my patient just now, right?" ”
Listening to Qian Xuebin's question, Xu Ze didn't know what he meant, but he still smiled and nodded: "Yes... Director Qu and I went to see it..."
"Oh... I don't know what special anomalies Director Qu found when he checked it? Qian Xuebin looked at Xu Ze affectionately and said with a smile: "I haven't heard of this Guillain-Barré syndrome before, tell me what Director Qu said!" ”
Xu Ze took a light breath, and finally understood why Qian Xuebin was so enthusiastic about himself, and couldn't help but secretly say: "This Qian Xuebin is really powerful, he can hold back his resentment against himself, and in turn he is close to himself, and it is really not easy to find out the news..."
However, Xu Ze didn't care, anyway, if he didn't tell him now, Director Qu would also say that since Qian Xuebin asked enthusiastically with a close face, he didn't hide it, so he smiled lightly: "Director Qu mainly thinks that the patient's lower limbs have a slight superficial sensory impairment, and the patient's medical history has a history of previous infection for several weeks before the onset of the disease, and the patient has a history of pain in the limbs and neck and back a few days before the onset of the disease... These are all characteristic of Guillain-Barré syndrome..."
After hearing what Xu Ze said, Qian Xuebin snorted secretly in his heart, there are two points that Xu Ze asked when he was seeing a patient, and sure enough, he directly told Director Qu and let himself be criticized.
However, Qian Xuebin, who has always been gloomy, remained silent at all, smiled and thanked him, and then took the stethoscope and percussion hammer and other examination instruments to re-examine the patient.
Looking at the back of Qian Xuebin leaving in a hurry, Xu Ze chuckled, and then buried his head to look at his medical records... Director Qu quickly turned out the issue that was only a few days old, and then published a national authoritative medical journal on Guillain-Barré syndrome information abroad, and after carefully re-reading and analyzing it, he found that the signs and medical history of several characteristic surnames mentioned above were very consistent with this patient, and then the protein cell isolation of this cerebrospinal fluid test was indeed mentioned above, and it was only a preliminary diagnostic criterion, but it was not mentioned above as a diagnostic marker of characteristic surnames.
Director Qu frowned and thought about it for a while, thinking that the diagnosis of Guillain-Barré syndrome may still be very great, as long as the cerebrospinal fluid test is made, and there is indeed protein cell isolation, then it should be able to make this diagnosis.
immediately took the magazine out, walked back to the internal medicine office, beckoned Xu Ze over, handed over the magazine in his hand, and said with a smile: "Xu Ze, did you also see it from this?" ”
Xu Ze looked at the magazine suspiciously, and then looked at the information on Guillain-Barré syndrome on it, and couldn't help but shake his head, his information was taken out of the research materials of the world's top professional medical institutions, and this magazine was not so comprehensive.
Immediately, he shook his head with a smile and said, "I saw it from the Internet, it is the latest research information on Guillain-Barré syndrome..."
"Oh? What's new? Director Qu suppressed his excitement and said curiously.
Xu Ze chuckled and nodded, and then said with a smile: "It's just one more item, that is, the protein cell separation of cerebrospinal fluid, which has been determined as a diagnostic marker of characteristic surnames!" ”
Hearing Xu Ze's words, Director Qu said excitedly: "Really? Has this test been identified as a diagnostic marker for characteristic surnames? Has there been any progress in the treatment? ”
Xu Ze smiled, and then said: "Basically, there is no major change, that is, plasma exchange and gamma globulin anti-immunotherapy as mentioned in this information." ”
Hearing what Xu Ze said, Director Qu let go of his heart, and then nodded: "Oh... That's good, otherwise if this patient is diagnosed, we have to find a new treatment plan that can be authoritatively confirmed, and it will be more troublesome..."
At this time, Qian Xuebin also walked back from the ward, it seems that he has re-examined the examination and physical examination, but the look on his face seems to be a little unsightly, it seems that he re-examined the patient just now, but I am afraid that it will also make him a little embarrassed... Seeing that Qian Xuebin came out, Director Qu handed Qian Xuebin the magazine in hand and said, "This is information about Guillain-Barré syndrome, you analyze it carefully, and then write a new medical record for me to sign!" ”
Hearing that Director Qu was going to review and sign, Qian Xuebin's face turned gloomy again, but he still respectfully took it, sat down at his desk, and read it carefully.
Qian Xuebin looked at the issue of this magazine, it was the latest issue, and couldn't help but secretly annoy that he didn't go to the library to take a look. It's not going to be trained.
However, he himself knew that based on this information alone, he might not be able to associate it with his own patient, after all, he had some medical history and subtle signs that he did not notice.
Therefore, Qian Xuebin transferred this anger to Xu Ze, if it weren't for this kid stirring up the situation in the middle, how could Director Qu think of such a diagnosis, didn't he find out about it when he went to the ward round today? Anyway, this is the latest information, and no one in our emergency department can say anything if they don't see it.
The current treatment has barely controlled the progress of the disease, and everything was fine, but this kid is to blame... And now even the patient and his family have lost their previous enthusiasm and respect for themselves, making their prestige greatly lost, thinking of this, Qian Xuebin was full of shame and anger, and said secretly: "I just hope to wait for the results of the cerebrospinal fluid test to come out, there is no problem, I can't determine what kind of diagnosis of Guillain-Barré syndrome is, otherwise how can I have prestige in front of the patient..."
However, Qian Xuebin was destined to be disappointed, and at the urging of Director Qu, the results of the cerebrospinal fluid test were quickly delivered.
It is clear from the above that there is significant protein-cell separation in the cerebrospinal fluid.
Director Qu took this test result, his face was full of joy, and he secretly said in his heart: "Although this information has been reposted in the national authoritative medical journal, it has only been a few days, and there are only a few clinical diagnoses in China... I am afraid that I have another advantage today, and I can report a research topic to the hospital! ”
"And if you can get the results first, you can even declare it to the ministry, and then two more national papers will be published... Although it may lag behind the international level, it is also an extremely honorable thing to stand at the top of the domestic level. ”
Thinking of this, Director Qu became excited, for an expert of his level, there is nothing more attractive to him than these, for them, some ordinary material wealth is no longer a temptation for them, only these things that can make a name for themselves and make them gain great reputation can make them excited... I remembered that Xu Ze had just affirmed that the protein cell isolation of this cerebrospinal fluid was a characteristic of Guillain-Barré syndrome. At that moment, Director Qu did not hesitate at all, and said excitedly to Xu Ze: "Xu Ze, are you really sure that the information says so?" ”
Regarding Director Qu's question, Xu Ze knew the meaning of his question, and he already knew the progress of Guillain-Barré syndrome in future technology, so he naturally knew that this was 100% correct, and nodded affirmatively at the moment, and said, "Director, I'm sure!" ”
"Okay, let's do this treatment... Aim for a result in a matter of days! Director Qu said excitedly: "We must closely observe the progress of the disease, always record any changes, if successful, we can apply to the hospital or even the department for a special research project, which will be the biggest medical achievement and breakthrough of the emergency department of the first affiliated department of our star university this year!" ”
Hearing Director Qu's excited words, Zhang Qi next to him and Qian Xuebin, who was originally gloomy, were all excited, if there is such a ministerial-level or even national-level project, the emergency department of the First Affiliated Department of Star University will advance a few places in the national rankings, and it can also get a large amount of financial support from the hospital and even the state, plus the national special papers that can be produced at that time, then everyone in the emergency internal medicine department can share great benefits and glory!
Seeing that the two doctors under him showed ecstatic and excited expressions, Director Qu couldn't help but glance at Xu Ze next to him gratefully, he was able to encounter this opportunity this time, but it was all because of this Xu Ze in front of him... First of all, I thought that the kid who was still in school arranged by Donald was afraid that he would make it extremely hard for the past two months, but who knew that he not only had rich clinical experience, but also brought himself such good luck....